Evidence map›Paper›PMID 31538084›Full record

ReviewMovement disorders clinical practice2019

ADCY5-Related Dyskinesia: Improving Clinical Detection of an Evolving Disorder.

Nirosen Vijiaratnam, Kailash P Bhatia, Anthony E Lang, Wendy H Raskind, Alberto J Espay

Open access · greenAbstract readReview
In one paragraph

Review in Movement disorders clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Mixed Movement Disorder Caused byCase reports in neurological medicine · 2026
    Article
  3. Treatment Efficacy of Theophylline in ADCY5-Related Dyskinesia: A Retrospective Case Series Study.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  4. Monogenic disorders associated with motor speech phenotypes in children and adolescents undergoing clinical exome sequencing.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  5. Article
  6. Article
  7. Scoping Review on ADCY5-Related Movement Disorders.Movement disorders clinical practice · 2023
    Article
  8. Improvement ofMovement disorders clinical practice · 2023
    Article
  9. Review
  10. The enduring enigma of sporadic chorea: A single center case series.Tremor and other hyperkinetic movements (New York, N.Y.) · 2023
    Article
  11. Article
  12. ADCY5-related dyskinesia: a case report.Neurological research and practice · 2022
    Article
  13. A Novel HomozygousMovement disorders clinical practice · 2021
    Article
  14. Article
  15. Homozygous ADCY5 mutation causes early-onset movement disorder with severe intellectual disability.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  16. Article
  17. Paroxysmal Movement Disorders.Frontiers in neurology · 2021
    Review
  18. Article
  19. Article
  20. Long-Term Follow-Up and Evolution ofMovement disorders clinical practice · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 4 countries.

Nirosen VijiaratnamDepartment of Neurology Royal Free Hospital London United Kingdom.
Kailash P BhatiaDepartment of Clinical and Movement Neurosciences, Queen Square Institute of Neurology University College London London United Kingdom.ORCID https://orcid.org/0000-0001-8185-286X
Anthony E LangDepartment of Medicine, Division of Neurology, Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital University of Toronto Toronto Ontario Canada.
Wendy H RaskindDepartments of Medicine and Psychiatry and Behavioral Sciences University of Washington Seattle Washington USA.
Alberto J EspayDepartment of Neurology (J.S.), Kingston General Hospital, Canada; Department of Neurology (D.M.-G.), Hospital Universitario Virgen del Rocío, Seville, Spain; and UC Gardner Neuroscience Institute and Gardner Family Center for Parkinson's Disease and Movement Disorders (A.Z., A.J.E.), Department of Neurology University of Cincinnati Ohio USA.ORCID https://orcid.org/0000-0002-3389-136X
King's College London · GBKingston General Hospital · CAThe Royal Free Hospital · GBUniversity of Toronto · CAUniversity of Washington · US

Funding

Genetic Movement Disorders: Etiologies and PathogenesesI01CX001702 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI CYRUS P ZABETIAN · 2018 to 2026
–
CSRD VA I01 CX001702
6 · The paper itself

Abstract

backgroundThe phenotypic spectrum of adenylyl cyclase 5 (ADCY5)-related disease has expanded considerably since the first description of the disorder in 1978 as familial essential chorea in a multiplex family.

objectiveTo examine recent advances in the understanding of ADCY5-related dyskinesia and outline a diagnostic approach to enhance clinical detection.

methodsA pragmatic review of the ADCY5 literature was undertaken to examine unique genetic and pathophysiological features as well as distinguishing clinical features.

resultsWith over 70 cases reported to date, the phenotype is recognized to be broad, although distinctive features include prominent facial dyskinesia, motor exacerbations during drowsiness or sleep arousal, episodic painful dystonic posturing increased with stress or illness, and axial hypotonia with delayed developmental milestones. Uncommon phenotypes include childhood-onset chorea, myoclonus-dystonia, isolated nongeneralized dystonia, and alternating hemiplegia.

conclusionThe ongoing expansion in clinical features suggests that ADCY5 remains underdiagnosed and may account for a proportion of "idiopathic" hyperkinetic movement disorders. Enhanced understanding of its clinical features may help clinicians improve the detection of complex or uncommon cases.

Indexed as

ADCY5 mutationepisodic movement disordersphenotypic spectrum

Identifiers

PMID31538084
PMCPMC6749814
OpenAlexW2965817014

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.